Influence of adjunctive balloon angioplasty on coronary blood flow after rotational atherectomy

Alexander F. Khoury, Richard G. Bach, Morton J. Kern

Research output: Contribution to journalArticle

2 Scopus citations

Abstract

Rotational atherectomy is being performed with increasing frequency in a distinct subset of patients whose lesion characteristics are unfavorable for conventional balloon angioplasty. Although satisfactory luminal enlargement can be accomplished with the use of rotational atherectomy alone in some patients, adjunctive balloon angioplasty is necessary in most patients, to obtain a minimal residual angiographic result. To demonstrate responses associated with rotational atherectomy results, serial coronary blood flow measurements were obtained in a patient undergoing rotational atherectomy for unstable angina. Adjunctive balloon angioplasty resulted in normalization of post‐stenotic coronary flow reserve. Recanalization by rotablator alone may not normalize coronary flow despite a satisfactory angiographic result. © 1995 Wiley‐Liss, Inc.

Original languageEnglish
Pages (from-to)272-276
Number of pages5
JournalCatheterization and cardiovascular diagnosis
Volume36
Issue number3
DOIs
StatePublished - Nov 1995
Externally publishedYes

Keywords

  • angiographic data
  • blood flow velocity
  • rotational atherectomy

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